Our expert says:
This is indeed a problem that seems to defy solution. If you are bipolar and the psychiatrist has decided that the most effective treatment option in your specific case is Tegretol, which can increase appetite, then you need to stick to using the medication because the first and most important factor for your health is to keep the bipolar condition well treated. On the other hand, constantly gaining weight is also a problem that can affect your physical and mental health. If you are a member of Weigh-Less, then I would recommend that you firstly consult your counsellor to find out if your food intake can be adjusted. If you are not an active member, then I would recommend that you consult a registered dietitian (visit the Association for Dietetics in SA Website at: www.adsa.org.za and click on "Find a Dietitian" to find a dietitian in your area).It is possible that using a low-fat, low-glycaemic index (GI) diet will assist in keeping your weight down and controlling hunger pangs more effectively. This is somthing the dietitian will have to decide after doing an evaluation of your case and taking your medication into account. Also click on 'Diet & Nutrition' and 'Weight loss' and 'The Glycaemic Index' and read the articles on the GI. Please keep up the good work with the exercise as this has multiple benefits: 1) It helps weightloss and controls weight gain; 2) It keeps blood glucose and insulin levels steady to prevent insulin-induced weight gain; 3) It lifts the mood to combat depression.
Above all, don't give up and persevere with eating sensibly and doing regular exercise.
Holding thumbs for you
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